PHILIPPINE PRACTICAL SHOOTING ASSOCIATION

MATCH REGISTRATION FORM

JOLLIBBEE PLAZA
Ortigas Center, Pasig City
a.ppsa@yahoo.com.ph

www.ppsa.org.ph

MATCH INFORMATION

MATCH DATE DATE APPLIED

NAME OF MATCH

HOST CLUB AREA

VENUE

DISCIPLINE HANDGUN MINI RIFLE SHOTGUN ACTION AIR

Level

Short Course

Medium Course

Long Course

No. of Stages

No. of Rounds

MATCH OFFICIAL

MATCH DIRECTOR

Contact Number

RANGE MASTER

Contact Number

STATS DIRECTOR

Contact Number

CONTACT PERSON

Contact Number

Courses of Fire (COF) and other match details must be together with this form.
By Applying for PPSA / IPSC Sanctioning , the Host Gun Club (s) and Match Organizers hereby undertake
to fully implement and endorse all current and existing IPSC/PPSA Rules and Regulations and accept
without reservation and/or conditions that any deviation from IPSC /PPSA Rules and Regulations will
result in the withdrawal of IPSC/PPSA Match Santioning.

CONFORME:

Gun Club President's Signature over Printed Name Date Signed

 Name of Match

REGISTRATION FEE

International
Civilian
Shooter

Lawman / Military
Super Junior/Junior Others
( 50% of actual fee from
Level II & up )

AWARDS

CATEGORY OPEN STANDARD PRODUCTION POD POLD CLASSIC REVOLVER

Aggregate / Division

Class A

Class B

Class C

Class D

Super Junior

Junior

Lady

Senior

Super Senior

Lawman /NALECC

Range Officer

SANCTIONING COMMITTEE

NROI Area Coordinator PPSA Area Coordinator

Area Director

REYNALDO B. GANABAN
NROI Executive Director

EDWIN B. LIM
IPSC Regional Director / President